Donation Pledge Form – Madinatul Uloom Buffalo

✦ Donor Information

Please provide your contact details below.

First Name *

Last Name *

Street Address *

City *

State / Province *

Postal / Zip *

Email Address *

Phone Number *

✦ Pledge Details

Donation Frequency *

1× One-Time

📅 Monthly

🗓️ Quarterly

📆 Bi-Annually

🏆 Annually

Donation Pledge Amount *

$

Payment Method *

Card

Cash

Check

✦ Signature & Date

Signature *

Date of Pledge *

Your donation is tax-deductible.
Tax ID: 93-2238422